Eating Habits among Lithiasic Patients in Kinshasa, the Democratic Republic of Congo  

作　　者：Pablo Kuntima Diasiama Diangienda Dieudonné Molamba Moningo Alain Ngoma Mayindu Jean-Robert Rissasy Makulo Ernest Kiswaya Sumaili Eric Musalu Mafuta Mathieu Nkumu Loposso Augustin M. L. Punga-Maole Simon Lwa Nkandi Lufuma Jean-Philippe Haymann Michel Daudon Pablo Kuntima Diasiama Diangienda;Dieudonné Molamba Moningo;Alain Ngoma Mayindu;Jean-Robert Rissasy Makulo;Ernest Kiswaya Sumaili;Eric Musalu Mafuta;Mathieu Nkumu Loposso;Augustin M. L. Punga-Maole;Simon Lwa Nkandi Lufuma;Jean-Philippe Haymann;Michel Daudon(Department of Urology, University Hospital of Kinshasa, Kinshasa, Democratic Republic of Congo;Department of Clinical Biology, University Hospital of Kinshasa, Kinshasa, Democratic Republic of Congo;Department of Nephrology, University Hospital of Kinshasa, Kinshasa, Democratic Republic of Congo;School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo;Department of Functional Investigations, Tenon Hospital, Paris, France)

机构地区：[1]Department of Urology, University Hospital of Kinshasa, Kinshasa, Democratic Republic of Congo [2]Department of Clinical Biology, University Hospital of Kinshasa, Kinshasa, Democratic Republic of Congo [3]Department of Nephrology, University Hospital of Kinshasa, Kinshasa, Democratic Republic of Congo [4]School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo [5]Department of Functional Investigations, Tenon Hospital, Paris, France

出　　处：《Open Journal of Urology》2021年第6期200-213,共14页泌尿学期刊（英文）

摘　　要：<em>Introduction</em>: Worldwide, the incidence of kidney stones has been progressively increasing. Various factors can influence the risk of stone formation, including lifestyle and eating habits. The dietary investigation is a standard of care in patients with urolithiasis. The objectives of this study were to determine the dietary habits of lithiasis patients in the city of Kinshasa and to investigate the association between dietary habits and the composition of the stones. <em>Material and Methods</em>: From January 2017 to September 2019, 85 patients attending 8 hospitals participated in the nutrition survey. Various foods commonly consumed in the Democratic Republic of Congo were categorized based on their composition: foods rich in animal proteins, foods rich in calcium, foods high in sugar, foods high in oxalate, and various vegetables and fruits. We also investigated daily water intake. The composition of the collected stones was analyzed by infrared spectrophotometry. <em>Results</em>: The mean (SD) age of patients was 47.1 (14.0) years, 63.5% of patients were males, 75.3% of the patients had stones located in the upper urinary tract, and 7.1% were undernourished. Most of patients consumed vegetables (77.6%), animal proteins (62.4%), and foods rich in oxalate (58.8%). The daily water intake was less than 1500 mL in more than half of the patients (68.2%). Major anhydrous uric acid stones were associated with a high body mass index (p = 0.025). Male patients with a high oxalate diet had more calcium oxalate stones (64.3%) compared to other types of stones (p = 0.041). <em>Conclusion</em>: High consumptions of vegetables and low water intake were linked to the formation of calcium oxalate monohydrate stones. More data are needed to confirm these findings.<em>Introduction</em>: Worldwide, the incidence of kidney stones has been progressively increasing. Various factors can influence the risk of stone formation, including lifestyle and eating habits. The dietary investigation is a standard of care in patients with urolithiasis. The objectives of this study were to determine the dietary habits of lithiasis patients in the city of Kinshasa and to investigate the association between dietary habits and the composition of the stones. <em>Material and Methods</em>: From January 2017 to September 2019, 85 patients attending 8 hospitals participated in the nutrition survey. Various foods commonly consumed in the Democratic Republic of Congo were categorized based on their composition: foods rich in animal proteins, foods rich in calcium, foods high in sugar, foods high in oxalate, and various vegetables and fruits. We also investigated daily water intake. The composition of the collected stones was analyzed by infrared spectrophotometry. <em>Results</em>: The mean (SD) age of patients was 47.1 (14.0) years, 63.5% of patients were males, 75.3% of the patients had stones located in the upper urinary tract, and 7.1% were undernourished. Most of patients consumed vegetables (77.6%), animal proteins (62.4%), and foods rich in oxalate (58.8%). The daily water intake was less than 1500 mL in more than half of the patients (68.2%). Major anhydrous uric acid stones were associated with a high body mass index (p = 0.025). Male patients with a high oxalate diet had more calcium oxalate stones (64.3%) compared to other types of stones (p = 0.041). <em>Conclusion</em>: High consumptions of vegetables and low water intake were linked to the formation of calcium oxalate monohydrate stones. More data are needed to confirm these findings.

关 键 词：UROLITHIASIS Dietary Abnormality Insufficient Diuresis Chemical Composition 

分 类 号：R73[医药卫生—肿瘤]